Provider Demographics
NPI:1114336864
Name:MURPHY, MIA (MS SLP)
Entity Type:Individual
Prefix:
First Name:MIA
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6279 WRIGHTSVILLE AVE APT 124
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-3805
Mailing Address - Country:US
Mailing Address - Phone:678-358-8118
Mailing Address - Fax:
Practice Address - Street 1:6279 WRIGHTSVILLE AVE APT 124
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-3805
Practice Address - Country:US
Practice Address - Phone:678-358-8118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-07
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist